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Joint Bone Spine
Volume 71, n° 4
pages 338-343 (juillet 2004)
Doi : 10.1016/j.jbspin.2003.05.001
Received : 6 January 2003 ;  accepted : 27 May 2003
Group B streptococcal spondylodiscitis in adults: 2 case reports

Javier  Narváez ab * ,  Cesar  Pérez-Vega b ,  Francisco J.  Castro-Bohorquez b ,  Jaime  Vilaseca-Momplet b
aRheumatology Unit, Clínica Delfos, Barcelona, Spain 
bDepartment of Internal Medicine, Clínica Delfos, Barcelona, Spain 

*Corresponding author. C/Torrent de l'olla no 226, 3o 1a 08012 Barcelona, Spain.

Streptococcus agalactiae, or group B streptococcus (GBS), has been traditionally considered an infrequent etiologic agent of disease in adults except for urinary tract infection in pregnant women. Attention has recently been drawn to other adult infections caused by GBS such as skin and soft tissue infections, bacteriemias, pneumonia, meningitis, endocarditis, peritonitis, and bone and joint infections. We present two adult patients with GBS spondylodiscitis and review 30 cases of GBS spinal infection previously reported in the literature. This series clearly illustrates that GBS has recently been recognized as an emerging cause of vertebral infections in adults, particularly in those with chronic underlying diseases, although it can also affect immunocompetent patients without debilitating conditions. Although uncommon, GBS should be considered in the differential diagnosis of infective spondylodiscitis in nonpregnant adults, whatever the patient's immunological status.

Mots clés  : Streptococcus agalactiae ; Group B streptococcus ; Spondylodiscitis ; Vertebral osteomyelitis ; Spondylitis.

© 2003  Elsevier SAS. All Rights Reserved.

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